The branch on Hooper Avenue was one of 11 places where people could have been exposed to measles, the first location outside of Lakewood where the outbreak has been centered. The state Department of Health initially said the office would reopen on Monday.

MVC customers are being directed to the Lakewood and Manahawkin offices as alternates.

There are now 14 confirmed cases and 10 cases under investigation as of Friday, all in Lakewood.

Ocean County Health Department public health co-oordinator Dan Regenye said the agency assisted in the coordination, delivery and/or administration of 12,400 doses of the vaccine to community providers since the onset of the outbreak.

Regenye said the number of cases in this outbreak would be much higher were it not for the immunity provided by those who have received the MMR vaccine.

Anyone who visited the following locations may have been exposed to measles and should see a health provider.

Symptoms of measles include rash, high fever, cough, runny nose, and red, watery eyes. Measles can cause serious complications, such as pneumonia and encephalitis (swelling of the brain). In pregnant women, measles can lead to miscarriage, premature birth or a low birth weight.

It can take up to two weeks for a rash to appear. An infected person can spread the illness four days before the rash appears.

A similar outbreak in Rockland County, New York that also started with when a resident returned from a trip to Israel has 68 confirmed cases as of Nov. 13, according to the Rockland County Health Department. In all, 6,100 doses of MMR vaccine have been administered so far.